IM：感內

26 flashcards · Other · by Wanying Koh

1. loperamide C/I

   <2y/o acute dysentery (fever, WBC+ / RBC+ in stool) infection by invasive organisms (Samonella, Shigella, Campylobacter) ulcerative colitis pseudomembranous colitis

2. food poisoning vs gasteroenteritis onset mechanism e.g.

   2-6h // 12-48h toxins // invasion by bacteria/virus Food poisoning: S. aureus, B. cereus 米 Gasteroenteritis: B. cereus 肉, C. perfringens, V. cholerae, ETEC, Samonella, Campylobacter, Shigella, V. parahaemolyticus

3. only human as hosts

   samonella typhi, s. paratyphi shigella corynebacterium diphtheria

4. 感染什麼後會出現 Guillain barre syndrome

   zika virus campylobacter jejuni

5. antibiotics associated w pseudomembranous colitis

6. IE in IV drug user caused by what microbe

   Staphylococcus aureus Pseudomonas aeruginosa

7. septic arthritis 有分成 non-gonococcal vs gonococcal. non-gonococcal 特徵： 分別有什麼bacteria occurs in what pts prognosis tx

   再細分 acute vs chronic acute: S. aureus // chronic: mycobacterium tuberculosis, NTM in immunocompromised pts or joints 原有的病變 poor prognosis tx: surgical drainage

8. septic arthritis 有分成 non-gonococcal vs gonococcal. gonococcal 特徵： 分別有什麼bacteria occurs in what pts prognosis tx

   gonococcal: N. gonorrhea in sexually active 年輕人 good prognosis tx: ABx

9. non-gonococcal septic arthritis that occur in joints 原本joint病變包括 那些

   DM, RA, OA, GA, prosthetic joints

10. Inhalational anthrax CXR features latent phase duration transmission by

    CXR: mediastinum widening, pleural effusion as long as 60 days NOT person to person (not contagious). transmitted by contact, inhaling spores, ingesting spores 接觸、吸入、食入

11. Nocardia type of bacteria

    Gram positive bacilli

12. Burkholderia pseudomallei 造成的疾病 tx

    melioidosis lung: CAP skin: pus infection of skin e.g. abscess ceftazidime / carbapenems. entire cycle of ABx tx for 20 weeks 四合一治療

13. same family of bacteria as treponema pallidum (syphillis) - 有兩個 // 媒介 tx

    borrelia burgdorferi -- lyme dz (tick) leptospira - floods / rat urine all tx by penicillin

14. syphillis screening, confirm diagnosis, disease f/u tests

    screening: non-treponemal VDRL, RPR confirm dx: treponemal TPHA, FTA-ABS dz f/u: non-treponemal VDRL

15. neurosyphillis dx

    CSF: VDRL increase

16. syphillis chancroid features hard/soft? duration

    hard chancre 硬 lasts for 4-6w

17. influenza vaccine subcu or IM can be taken in egg-allergy pts? 3 populations of people recommended for vaccine

    IM yes pregnancy, immunocompromised, babies >6mo old

18. influenza 後 - superinfection w what kinds of bacteria

    S. aureus H. influenzae S. pneumoniae

19. West nile virus infection what genus what vector

    Flavivirus arbo - mosquitoes (mostly Culex 三斑)

20. HIV vertical transmission occurs during which part of pregnancy

    分娩

21. which kind of vaccine type cannot be used after epinephrine tx subunit (HBV) inactivated/killed (Rabies) live attenuated (JR MV BOY)

    live attenuated (JR MV BOY)

22. HIV pregnant pt - giving birth 如何dec transmission rates

    HAART zidovuline prophylaxis medication C-section for birth

23. AIDS defining condition include hodgkin lymphoma kaposi sarcoma burkitt lymphoma invasive cervical ca

    all except hodgkin lymphoma

24. tx for Burkholderia pseudomallei

    ceftazidime + followed by 4 ABx therapy

25. ludwig's angina Dx Rx

    CT 建立呼吸道, IV ABx

26. 有 TB 的 HIV pt , when to start treating HIV

    2-8 weeks after TB therapy TB meds may interact w HIV meds